ACUTE GE WITH PRERENAL AKI

55 Y/F WITH CAME WITH C/O LOOSE STOOLS , FEVER SINCE 2 DAYS, URINE OUTPUT SINCE 1 DAY.

HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC 2 DAYS BACK SHE HAD 6 EPISODES OF LOOSE STOOLS -WATERY IN CONSISTENCE ASSOCIATED WITH PAIN ABDOMEN, RELIEVES AFTER PASSING STOOL, NON BLOOD STAINED.

FEBER -LOW GRADE, INTERMITTENT, RELIEVES ON TAKING MEDICATION, NOT ASSOCIATED WITH CHILLS AND RIGORS FROM 1 DAY PATIENT IS HAVING DECREASED URINE OUTPUT.

NO PEDAL EDEMA, CHEST PAIN, PALPITATIONS.

PAST H/O: N/K/C/O DM, HTN,ASTHMA, TB, EPILEPSY

CLINICAL IMAGES-

USG: 

DIAGNOSIS:

ACUTE GASTROENTERITIS WITH PRE-RENAL AKI( RESOLVING)

TREATMENT GIVEN

1. IVF 1 UNIT NS, RL, DNS  IV BOLUS @ 75ML/HR

2. INJ.CEFTRIAXONE  1GM/IV/BD

3.ING.METROGYL 100/IV/TID

4.INJ.PAN 40 MG/IV/OD

5.TAB.SPOROLAC -DS PO/TID

GRBS MONITORING.

STRICT I/O CHARTING

BP/PR/RR/SPO2 MONITERING.

ADVICE AT DICHARGE:

1.PLENTY OF ORAL FLUIDS

2.TAB.OFLOX -OZ PO/BD FOR 2 DAYS

3.TAB.SPOROLAC-DS-. PO/TID FOR 2 DAYS.

4.TAB.RAZO-D.  PO/BD. FOR 2 DAYS

5.TAB.ULTRACET 1 TAB PO/BD FOR 2 DAYS 

TREATING DOCTORS.

(1) DR.KRISHNA SAI RAPOLE

(2) DR.NIKHITHA 

(3) DR.PRANAV

(4) DR.NIKHIL VAMSHI

(5) DR.SHWETHA

(6) DR.PRADEEP

(7) DR.USHA

(8) DR.VAISHNAVI

(9) DR.ARAVIND

(10) DR.RAKESH BISWAS